Tour/Field Trip Form

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Tour/Field Trip
College of Musical Arts Policy for Tours and Course Related Field Trips:
1. No tours or field trips are to be scheduled during exam week or during the last five class days
of any semester.
2. Except for singular events, such as international travel; and except for tours during
University recesses; days missed by any groups should not exceed a total of seven (four class
days and three non-class days) during any semester (not including the period between
semesters).
3. Officially sanctioned tours and field trips are to be announced to students well in advance
and are to be considered part of regular requirements of the ensemble or course, except that
students shall have the right to be excused from appearances in religious institutions or other
locations where their personal beliefs may be violated, and student participation during
University recesses shall be voluntary. (Any request for an excused absence must be
submitted well in advance.)
4. Prior to a tour or field trip, students are to be reminded that it is their responsibility to make
up work in all classes missed during absence. Students should confer in advance of the tour
with all instructors whose classes will be missed (see BGSU Academic Charter B-II.G.3,
"Class Attendance" and Student Code "Class Attendance.) This tour should also conform to
the BGSU Code of Student Conduct from the 09-10 Student Handbook
(http://www.bgsu.edu/offices/sa/studentdiscipline/)
5. Tour/Field Trip Request Forms must be submitted to the Dean for approval. When possible,
requests should be submitted prior to the beginning of a semester. In all cases, they should
be submitted at least three weeks prior to the event. In the event that details of the itinerary
are not known at the time of the original request, these must be supplied prior to departure.
Forms are to be filed as follows:
Name
Date of Submission
Remarks
1.
Tour/Field Trip
Request
Preferably, prior to the
beginning of semester; at
latest 3 weeks before trip.
If full details are unknown at
time of request they must be
supplied prior to departure.
2.
Personnel List
2 weeks before trip
CMA Office will post
for faculty.
3.
Liability Release
3 days before trip
All students must complete
this waiver before going on
trip (see page 4)
Rev 2/2012
1
BOWLING GREEN STATE UNIVERSITY
COLLEGE OF MUSICAL ARTS
TOUR/FIELD TRIP REQUEST FORM (internal use only)
This page along with page 3 must be submitted three weeks prior to the event.
Refer to page 1 for complete guidelines for field trips.
Name of Ensemble/Class________________________________________
Director/Instructor_____________________________________________
Tour/field trip information:
Departure from campus:
Date/Time______________________
Destination(s)
________________________
________________________
________________________
________________________
Date(s)/Time(s)
________________
________________
________________
________________
Host(s): Name, Address, Phone
___________________________
___________________________
___________________________
___________________________
Performance Venue:______________________________ Performance Time:____________
Return to campus:
Transportation:
Date/Time: _______________________
Bus______
Car_______
Rental ________
Publicity Information: __________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
What impact will this tour have on major ensemble rehearsals/concerts and/or academic classes?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_____ This tour conforms to the BGSU Tour Policy in the 10-11 Student Handbook.
Signature of director/instructor_______________________________
Date____________
Approved_______________________________________________
Dean, College of Musical Arts
Date____________
Expenses:
Transportation: _______________________________
Lodging: _____________________________________
Meals: ______________________________________
Publicity materials: ____________________________
Other: _______________________________________
Income: ____________________________________________
2
BOWLING GREEN STATE UNIVERSITY
COLLEGE OF MUSICAL ARTS
TOUR/FIELD TRIP PERSONNEL FORM
The students listed below will be absent from the campus on an officially sponsored tour/field trip as
specified. Students are to notify instructors in advance (preferably at least one week) of any classes to
be missed. Although an instructor may accept a student's cause for absence as a basis for making up
tests and examinations, the responsibility for making up work missed during absence rests with the
student.
Name of Ensemble/Class______________________________________
Director/Instructor___________________________________________
Date(s) of absence___________________________________________
Time of departure______________
Time of return_______________
List students' names in alphabetical order according to College
College of Musical Arts
College of Arts & Sciences
College Administration
College of Education & Allied Professions
College of Health & Human Services
College of Technology
Graduate College
ALL STUDENTS MUST COMPLETE A LIABILITY RELEASE FORM BEFORE LEAVING
CAMPUS. SEE PAGE 4
Approved:
Faculty Sponsor___________________________________
Date___________
Department Chair__________________________________
Date___________
Dean, College of Musical Arts________________________ Date___________
xc:
Campus Safety
Vice President, Student Affairs
College Deans and Directors
Public Events
Keith Hofacker
Vanessa Chapman
Rev. 3/1/12
3
BOWLING GREEN STATE UNIVERSITY
LIABILITY RELEASE, EMERGENCY MEDICAL AUTHORIZATION.
AND AGREEMENT
1.
2.
3.
4.
5.
6.
I desire to participate in the following activity/trip _________________________ (“Activity”),to be held on
__________________. I fully understand and appreciate the dangers, hazards, and risks inherent in the Activity, in the
transportation to and from the Activity, and in any independent research or activities I undertake supplemental to the
Activity. These dangers and risks can result in injury and impairment to my body, general health, well being, and could
include serious or even mortal injuries and property damage.
Knowing the dangers, hazards, and risks of such activities, and in consideration of being permitted to participate in the
Activity, on behalf of myself, my family, heirs, and personal representative(s), I agree to assume all the risks and
responsibilities surrounding my participation in the Activity, the transportation, and in any independent research or activities
undertaken as supplemental and to release, waive, forever discharge, and covenant not to sue the State of Ohio, Bowling
Green State University, and its governing board, officers, agents, employees and any students acting as employees
(“Releasees”), from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action,
costs, and expenses of any nature that I may have or that may hereafter accrue to me, arising out of or related to any loss,
damage, or injury, including but not limited to suffering and death, that may be sustained by me or by any property belonging
to me, whether caused by the negligence or carelessness of the Releasees, or otherwise, while in, on, upon, or in transit to or
from the premises where the Activity, or any supplement to the Activity, occurs or is being conducted.
I understand and agree that Releasees are granted permission to authorize emergency medical treatment, if necessary, and that
such action by Releasees shall be subject to the terms of this Agreement. I understand and agree that Releasees assume no
responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical
treatment.
It is my express intent that this release and hold harmless agreement shall bind myself, the members of my family and
spouse, if I am alive, and my estate, family, heirs, administrators, personal representatives, or assigns, if I am deceased, and
shall be deemed as a “Release, Waiver, Discharge and Covenant” not to sue the Releasees.
In signing this Release, I acknowledge and represent that I have carefully read this Agreement and understand its contents
and that I sign this document as my own free act and deed. I further state that I am at least eighteen
(18) years of age and fully competent to sign this Agreement; and that I execute this release for full, adequate,
and complete consideration fully intending to be bound by the same. I further state that there are no health related reasons or
problems which preclude or restrict my participation in the Activity, and that I have adequate health insurance necessary to
provide for and pay any medical costs that may be attendant as a result of injury to me. I recognize that the University is not
obligated to provide for any of my medical or medication needs or insurance and that I assume all risk and responsibility for
those needs. If I am a driver, driving my personal vehicle, I certify that I personally carry Automobile Liability Insurance
which includes medical payments coverage.
I further agree that this Release shall be construed in accordance with the laws of the State of Ohio. If any term
or provision of this Release shall be held illegal, unenforceable, or in conflict with any law governing this Release the
validity of the remaining portions shall not be affected thereby.
If I am a University employee, I do not consider the activity within the course and scope of my employment with Bowling
Green State University. By signing below I also agree to comply with the Bowling Green State University’s Code of
Student Conduct and other University regulations regarding conduct, comportment, and academic integrity during my
participation in the Activity. I understand that the University has the right to enforce such standards of conduct and that I
may be dismissed from the Activity at any time for failing to abide by such standards.
THIS IS A LEGAL AGREEMENT AND INCLUDES A RELEASE OF LEGAL RIGHTS. READ AND BE CERTAIN
YOU UNDERSTAND IT BEFORE SIGNING.
Signature: _____________________________________________Date:__________
Print Name: _________________________________________________________
Emergency Contact Name______________________________________________________
Emergency Contact Information__________________________________________
******************************************************************************************
If under 18, this form must be signed by a parent or guardian before student can participate.
_____________________________ ____________________________ ___________________
(Print) Parent or Guardian Signature Date
rev. 10/12
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